Communication Quality Analysis: A User-friendly Observational Measure of Patient–Clinician Communication

Communication Quality Analysis (CQA) is a rigorous transcript-based coding method for assessing clinical communication quality. We compared the resource-intensive transcript-based version with a streamlined real-time version of the method with respect to feasibility, validity, reliability, and association with traditional measures of communication quality. Simulated conversations between 108 trainees and 12 standardized patients were assessed by 7 coders using the two versions of CQA (transcript and real-time). Participants also completed two traditional communication quality assessment measures. Real-time CQA was feasible and yielded fair to excellent reliability, with some caveats that can be addressed in future work. CQA ratings were moderately correlated with traditional measures of communication quality, suggesting that CQA captures different aspects of communication quality than do traditional measures. Finally, CQA did not exhibit the ceiling effects observed in the traditional measures of communication quality. We conclude that real-time CQA is a user-friendly method for assessing communication quality that has the potential for broad application in training, research, and intervention contexts and may offer improvements to traditional, self-rated communication measures.

This is an Accepted Manuscript of an article published by Taylor & Francis in Communication Methods and Measures on 2022-07-03, available online: https://www.tandfonline.com/10.1080/19312458.2022.2099819.

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Work Title Communication Quality Analysis: A User-friendly Observational Measure of Patient–Clinician Communication
Access
Open Access
Creators
  1. Lauren Jodi Van Scoy
  2. Allison M. Scott
  3. Michael J. Green
  4. Pamela D. Witt
  5. Emily Wasserman
  6. Vernon M. Chinchilli
  7. Benjamin H. Levi
Keyword
  1. Communication research methods
  2. Observational research methods
  3. Conversation analysis
  4. Intercoder reliability
License CC BY-NC 4.0 (Attribution-NonCommercial)
Work Type Article
Publisher
  1. Communication Methods and Measures
Publication Date July 14, 2022
Publisher Identifier (DOI)
  1. https://doi.org/10.1080/19312458.2022.2099819
Deposited June 20, 2023

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Version 1
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  • Created
  • Added Communication_Quality_Analysis__Van_Scoy.docx
  • Added Creator Lauren Jodi Van Scoy
  • Added Creator Allison M. Scott
  • Added Creator Michael J. Green
  • Added Creator Pamela D. Witt
  • Added Creator Emily Wasserman
  • Added Creator Vernon M. Chinchilli
  • Added Creator Benjamin H. Levi
  • Published
  • Updated Keyword Show Changes
    Keyword
    • Communication research methods, Observational research methods, Conversation analysis, Intercoder reliability
  • Added Figure 1_CQA.docx
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  • Added Table 1_CQA.docx
  • Added Table 2_CQA.docx
  • Added Table 3_CQA.docx
  • Added Table 4_CQA.docx
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  • Added Table 6_CQA.docx
  • Updated